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Maryland rates for HCPCS G0396

Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and brief intervention 15 to 30 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.74 / $31.95 / $40.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.95 / $30.95 / $36.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.02 / $33.65 / $47.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.28 / $34.28 / $58.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.72 / $45.93 / $51.03